Journal of Immigrant and Minority Health
2019

Benefits, Cost, and Activities of Patient Navigation (PN) Program for Colorectal Cancer Screening at the Charles B. Wang Community Health Center (CBWCHC) (Article)

Qian F.* , Gates M. , Bisner S. , Collins E. , Vora S. , Dacus H.
  • a Department of Health Policy, Management, and Behavior, School of Public Health, University at Albany - State University of New York, Rensselaer, NY 12144-3445, United States
  • b Bureau of Cancer Prevention and Control, New York State Department of Health, Albany, NY, United States
  • c Bureau of Cancer Prevention and Control, New York State Department of Health, Albany, NY, United States
  • d Bureau of Cancer Prevention and Control, New York State Department of Health, Albany, NY, United States
  • e Center for Comprehensive Care and Diagnosis of Inherited Blood Disorders, Orange, CA, United States
  • f Bureau of Cancer Prevention and Control, New York State Department of Health, Albany, NY, United States

Abstract

To evaluate the benefits of a PN program for colorectal cancer (CRC) screening at Charles B. Wang Community Health Center (CBWCHC) in New York City from June 2012 to May 2015, estimate the cost of implementation, and describe time allocation patterns of PN activities. Semi-structured interviews were conducted with key informants of the CBWCHC in 2015. The electronic PN database was used to evaluate the program’s effectiveness. New York State Department of Health budgeting and cost data were used to estimate the implementation cost. Self-reported activities of PNs were used to analyze time allocation patterns. A total of 3723 screen-eligible patients were contacted by PNs and 2552 (68.5%) completed at least one CRC screening test. Of these, 266 (10.4%) patients were diagnosed with precancerous polyps and two patients were diagnosed with CRC. The CRC screening rate at CBWCHC increased from 56% to 60% during the program period. The total cost was estimated to be $295,296.51 (in 2014 dollar terms). Overall, this relatively inexpensive CRC screening PN program was effective in increasing CRC screening in a low-income Asian-American community. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Charles B. Wang Community Health Center Benefit Colorectal cancer screening Patient navigation Asian-American Cost

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068347821&doi=10.1007%2fs10903-019-00913-6&partnerID=40&md5=364763fabb6db5e7a1c2636207dae131
DOI: 10.1007/s10903-019-00913-6
ISSN: 15571912
Original Language: English